MRS. KRYSTAL SMITHERS


Address: 208 Maccorkle Ave Se, Charleston, WV 25314-1160
Phone: 3043434300

MRS. KRYSTAL SMITHERS (NPI# 1033558465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033558465
Entity Type Individual
Full Name MRS. KRYSTAL SMITHERS
Credential PA-C
Practice Address 208 Maccorkle Ave Se
Charleston
WV 25314-1160
Practice Telephone 3043434300
Practice Fax Number 3043435473
Mailing Telephone 3043434300
Mailing Fax Number 3043435473
Enumeration Date 2013-06-19
Last Update Date 2013-07-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
01725 WV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1033558465 01

Office Location

Street Address 208 MACCORKLE AVE SE
City CHARLESTON
State WV
Zip Code 25314-1160

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720192826 Jane Thomas Christenson Physician Assistant 208 Maccorkle Ave Se, Charleston, WV 25314-1160 2006-08-18
1780152553 David Tomczyk Physician Assistant 208 Maccorkle Ave Se, Charleston, WV 25314-1197 2018-11-09
1093191124 Leann Mckay Physician Assistant 208 Maccorkle Ave Se, Charleston, WV 25314-1160 2015-07-30
1144595026 Jessica Jean Dearman Physician Assistant 208 Maccorkle Ave Se, Charleston, WV 25314-1160 2012-03-12
1376828095 Caroline A. Williams Family Medicine 208 Maccorkle Ave Se, Charleston, WV 25314-1160 2011-10-13
1629280664 Siwat Kiratiseavee Allergy & Immunology 208 Maccorkle Ave Se, Charleston, WV 25314-1160 2007-05-03
1316013295 Wv Asthma & Allergy Centers, Inc. Allergy & Immunology 208 Maccorkle Ave Se, Charleston, WV 25314-1160 2006-11-24
1114005477 Wv Asthma and Allergy Centers, Inc. Allergy & Immunology 208 Maccorkle Ave Se, Charleston, WV 25314-1160 2006-11-02
1184715948 Melissa Jose Gamponia Family Medicine 208 Maccorkle Ave Se, Charleston, WV 25314-1160 2006-09-27
1013014620 Chang Hyuk Choi Allergy & Immunology 208 Maccorkle Ave Se, Charleston, WV 25314-1160 2006-09-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265033559 Nancy Galvan Technician 4587 Kanawha State Forrest Dr., Charleston, WV 25314 2020-11-04
1093316424 Emma Mccloud Technician 710 Colony Dr., Charleston, WV 25314 2020-11-03
1699376137 Amanda Gail Evans Technician 11 Happy Hl, Charleston, WV 25314 2020-11-02
1457879074 Samantha Pennington Pharmacist 1100 Fledderjohn Rd Kroger #785, Charleston, WV 25314 2017-09-04
1992180335 John Anthony Palmer IIi Dentist 867 Oakwood Road, Charleston, WV 25314 2015-07-28
1285039727 West Virginia Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 885 Oakwood Rd., Charleston, WV 25314 2014-10-27
1386980381 Miranda L Broyles Nurse Practitioner 3200 Maccorkle Avenue Southwest, Charleston, WV 25314 2012-12-19
1548482896 Christina M. Arco, Phd Pllc Psychologist 1013 B Oakhurst Drive, Charleston, WV 25314 2007-05-03
1578780359 S & W Meeks Inc Eyewear Supplier (Equipment, not the service) 426 Division Street, South Charleston, WV 25314 2007-04-20
1669511853 Gregory Alan Simmerman Audiologist 1105 Fledderjohn Road, Charleston, WV 25314 2007-02-05
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821470113 Lesley E. Weiss Physician Assistant 3200 Maccorkle Seave, Charleston, WV 25304-1227 2015-06-23
1063797447 Michael B Carothers Physician Assistant 2030 Wambaw Crk, Charleston, SC 29492-8382 2011-10-17
1316228679 Joanna Harvey Physician Assistant 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 2011-08-31
1689825895 Jeffrey Russell Pike Physician Assistant 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 2008-10-07
1073662664 Kenneth Neil Dippel Physician Assistant 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 2007-01-10
1790873099 Steven L Russell Physician Assistant 191 Rutledge Ave, Charleston, SC 29403-5822 2006-10-11
1376649723 Irene Belinda Coley Physician Assistant Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 2006-09-15
1578597480 David Laurence Gross Physician Assistant 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 2006-07-10
1851331714 Caroline M Bailey Physician Assistant 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 2006-06-08
1952357899 Constantina Helen Panos Physician Assistant 129 Queen St, Charleston, SC 29401-2424 2006-05-25
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25314

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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